Official Registration Application & Rowan's Law Atestation

2019-2020 season

In order to facilitate the collection of registration information required for officials, Swim Ontario has designed an online form. The online form will be maintained by Swim Ontario and clubs can opt-in for this service.

To have a club listed, the Club Official Administrators (COA) must signup by contacting nicole@swimontario.com

COAs will be provided with the link to a shared google spreadsheet with their club's submitted information for easy tracking.

Once an official completes all required steps, the official will receive an email confirmation of the details in a PDF attachment.

If the official provides an email address for the COA, the COA will also receive the PDF attachment with all the details.

Meet Managers and/or a 4 or 5 official must complete the Rowan's Law component as part of the sanctioning approval even if their club is not listed in the dropdown menu.

Registration Information

Applicant Name
*

First Name Last Name

Applicant Email
*

Confirmation Email Confirm Email Address

Club
*

Certification Group
*

Will you be a Meet Manager this season for a sanctioned Swim Ontario competition?
*

Yes /Maybe No

Your club is not participating in the registration of officials via this link. Please contact your Club Officials Administrators for details on how to register. Kindly exit the online form without submiting information. Thank you.

Although you will register directly with your club, you have indicated that you are a Level 4 or 5 officials and/or will be (or possibly be) a Meet Manager this season.

The Rowan’s Law concussion awareness rules came into effect as of July 1, 2019. After that date, sport organizations must not allow officials to serve as an official for or in respect of the sport organization unless they annually provide confirmation that they have reviewed the concussion awareness resources.

As per Rowan's Law - An official is described such as an umpire, a referee or a judge, but only if the official presides over the field of play.

All three resources (age specific) are provided in this form as officials may encouter all three age groups.

This confrmation will be sent to Swim Ontario as part of the sanctioning approval and your registration.

Year of Birth
*

Gender
*

Female Male

Level of Certification
*

Phone Number
*

-
Area Code Phone Number

Address
*

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

PIPEDA Privacy Consent

for collection of private information

Please Read Carefully.

A Parent or Legal Guardian must consent for those registrants under the age of 18.

The Canadian Personal Information Protection & Electronic Documents Act (and equivalent provincial legislation) requires that consent be obtained prior to the collection and use of all personal information.

The personal information provided at registration will be used for the purposes reasonably associated with officiating activities conducted by the Club, PS and/or Swimming Canada. These purposes include national, provincial, and event registration, insurance coverage, certification, and event participation. Some of the information you provide is for purposes including association registration, insurance coverage and:

c) Reporting non-identifying, demographic and participation statistics to funders, sponsors and other authorized third parties;

d) Making direct contact with registrants, volunteers and staff as necessary for the operations of the Club, Swim Ontario and Swimming Canada.

The personal information collected will include name, gender, and year of birth, contact information, club of affiliation, certification level and progression.

Swimming Canada complies with the obligation and responsibility to the World Anti-Doping Agency - WADA (or its agents) to provide information upon request.

Additional personal information may be collected from time to time. Consent for the use of this personal information may be inferred where its uses are obvious and it has been voluntarily provided. When not obvious, the purposes for collection will be provided prior to, or at the time of collection; either orally or in writing.

Should a registrant wish to review their personal information held by the Club, Swim Ontario, or Swimming Canada they must make a request to the appropriate organization pursuant to that organization’s Policy. Further, registrants may withdraw consent to use their personal information pursuant to the Policies. Such a withdrawal however, may require the cancellation of registration with and suspension of activities with; the Club, Swim Ontario and Swimming Canada.

Swimming Canada may, at its discretion at any point, request a valid Police Records Check (PRC) or Vulnerable Sector Check (VSC) or similar, from any registrant. Upon official notice of request the registrant has 30 days to comply or will be suspended in the interim until provided. The results of the PRC or VSC or similar will be reviewed to determine whether or not the registrant may continue to be active with Swimming Canada. Any person appearing on any National Sex Offender Registry is not eligible to register, or participate in any capacity; paid or unpaid. 2019

be at the pool and ready to work at least 45 minutes before the session begins, particularly if one is doing strokes and turns as the Referee will be giving instructions as to any rule changes or interpretations and procedures for the session at this time;

report promptly to the officials’ area to sign in. Officials must remain in the sign-in area until briefing has been completed;

accept the assignment one has been given at the meet;

remain at your assigned station for the entire session. If you need a replacement for any reason, arrangements must be made with the Referee before leaving your post;

know the rules thoroughly as they apply to your assigned position;

be as impartial, unobtrusive and inconspicuous as possible. Officials do not coach or cheer while working. Your role is to assist by providing adequate technical supervision for the meet;

respect the final decision of the referee - he or she has the right to overturn your decision; and,

do not lecture a coach or debate disqualifications with a swimmer while working the deck. Remain composed and professional at all times. Refer any questions or problems that come your way to the referee.

Screening Document

Level 4 and 5 officials must submit either a Police Record Check (valid for 5 years) obtained from their local Police Services Departments or if the Club has a valid Police Record Check on file they must complete the Offence Declaration Form for years 2, 3, 4 & 5.

NOTE: The screening document collection began in September 2014. Please verify your records to see if a new Police Record Check is required for this season.

Screening Document
*

My club has a valid Police Record Check on file (no older than 5 years) A copy of my Police Record Check will be sent to my club to complete my registration

A letter of reference will be provided when you submit your application in order to facilitate the process of getting a Police Record Check.

Offence Declaration

with valid PRC on file with the club

Date of Birth

-
Year
-
Month Day Date Picker Icon

I DECLARE, since the last Vulnerable Sector Check or Police Records Check was submitted by me to my club or since the last Offence Declaration submitted by me to my club, that:

I have no convictions under the Criminal Code of Canada up to and including the date of this declaration. I have the following convictions for offences under the Criminal Code of Canada:

Note: If you provided a Police Records Check in the past year, you are only required to disclose new convictions.

Offence List
*

Rowan's Law

The Rowan’s Law concussion awareness rules came into effect as of July 1, 2019. After that date, sport organizations must not allow coaches and officials to serve as a coach or official for or in respect of the sport organization unless they annually provide confirmation that they have reviewed the concussion awareness resources.

All three resources are provided in this form. They are geared towards specific age groups. We encourage officials to review all three as they will encounter a range of athletes while officiating.

Based on the definition of an Official in Rowan's Law, Swim Ontario will require all Level 4 & 5 certified officials and Meet Managers to complete this section as part of the sanctioning process and registration.

Both the competition coordinator and meet manager will need to confirm their awareness before a sanction is granted.

Name
*

First Name Last Name

Club
*

Government of Ontario Concussion Awareness Resource e-booklets:

Learn more about concussions if you are an athlete, student, parent, coach, official or educator. This information will help keep yourself and others active and safe.

Participating in sports and other activities is fun and healthy. But sometimes when you play you can hurt yourself. Did you know you can even hurt your brain?

Hurting your brain is different from other injuries. If you sprain your ankle, you can see it get all red and puffy. But when you hurt your brain, it doesn’t show on the outside because it’s inside your head!

One kind of brain injury is called a concussion. Keep reading to learn about concussions and what to do if you think you might have one. Your brain is very important, so you want to keep it safe!

What is a concussion?A concussion happens when your brain moves around inside your head. A hard bump to your head, neck or body can cause a concussion. For example, you can get a concussion if you are hit in the head with a ball or if you fall down hard onto the floor.

A concussion is a serious injury. Most people get better quickly but some people have long-term problems with their memory or how they feel.

Keep your brain safe: Prevent concussions!Learn about concussions to help stay safe. You can also:

Make sure your sports equipment is in good condition, that it fits and that you are wearing it properly.

Follow the rules of your sport or activity. This also means listening to your coach or teacher when they give you instructions, like putting equipment away so no one trips on it.

Read and talk about how to follow the Concussion Code of Conduct for your sport.

If you get hurt and don’t feel right, make sure to tell a parent, coach, teacher or other adult you trust so they can help.

Keep your brain safe: Know the signs and symptoms of a concussion!Your brain controls how you think, feel and move. So, hurting your brain can affect you in lots of ways. The chart below shows some common signs and symptoms of a concussion.

How you might feel:

Headache

Dizziness

Throwing up or feeling like throwing up

Blurred vision

Lights or sounds bother you

Ringing in your ears

Balance problems

Tired

“Don’t feel right”

Thinking problems:

Feeling confused

Problems concentrating

Problems remembering, like what happened before you got hurt

Emotions:

Upset or grumpy

More sad than usual

Nervous or anxious

Sleep problems:

Sleeping more than usual

Sleeping less than usual

Having a hard time falling asleep

If you think you, a friend, teammate or classmate has one or more of these symptoms, tell an adult you trust. You should not be left alone if you think you have a concussion.

Keep your brain safe: What to do if you think you have a concussion.If you have one or more of these symptoms you should:

Stop playing.

Tell an adult, like a parent, teacher or coach.

Get checked by a medical doctor or nurse practitioner.

Rest and recover.

Getting betterWhen you have a concussion, rest is the first step for getting better. You will have to stop doing things for a bit if they make you feel worse, such as playing video games, school work, using a phone or tablet, playing sports or taking part in physical education class. You need to get proper sleep.

As your brain heals, you will slowly get back to your usual activities at school, at play and in sport. Getting back to your full routine at school is an important step in getting better. First, you will do simple things such as reading and going for short walks. Once you can do things like this without feeling worse, you can move to the next step. As long as you feel OK, your parents, coaches and teachers will help you add more activities, such as running, playing with friends, attending school and practising your sport. The last step will be taking part in games or competitions.

Your medical doctor or nurse practitioner will tell you when it’s OK to go back to your activities.

Playing safe will help prevent you from getting injured so that you can keep doing things you love! If you think you might have a concussion, remember:

Stop playing.

Tell an adult.

Get checked by a medical doctor or a nurse practitioner.

Rest and recover.

This e-booklet is part of a series of Rowan’s Law concussion awareness resources. Rowan’s Law was named for Rowan Stringer, who was a high school rugby player from Ottawa. One day, while playing rugby with her team, Rowan got a concussion. Most people with a concussion get better after they rest and heal. But Rowan didn’t know her brain was hurt and needed time to heal. Her parents, teachers and coaches didn’t know, either. So, Rowan kept playing rugby. She got hurt two more times. Rowan’s brain was so badly hurt that she couldn’t get better.

This resource is not meant to replace medical advice about your health care. For more information about concussions please speak with a physician or nurse practitioner.

Government of Ontario Concussion Awareness Resource e-booklet:

Ages 11-14

Preventing injuries will help you stay active throughout your life. Some injuries are easy to see and treat, but what about an injury inside your head? Brain injuries, such as concussions, don’t show on the outside and are not always obvious. Even though others can’t see your concussion, you will feel the effects and need the proper care to get better.

This resource will help you learn more about concussions, so you can stay active and safe.

What is a concussion?A concussion is a brain injury. It can’t be seen on X-rays or through other medical procedures such as CT scans or MRIs. Having a concussion may affect the way you think, feel and act.

Any blow to your head, face or neck may cause a concussion. A concussion may also be caused by a blow to your body if the force of the blow causes your brain to move around inside your skull. Examples include being hit in the head with a ball or falling hard onto the floor.

A concussion is a serious injury. While the effects are typically short-term, a concussion can lead to long-lasting symptoms and even long-term effects, such as memory problems or depression.

Preventing a concussionFirst, educate yourself about concussions. You should also:

Make sure your sports equipmentis in good condition;

Make sure your equipment fits properly;

Respect the rules of your sport;

Follow your sport club/school's Concussion Code of Conduct; and

Report injuries to an adult you trust, such as a parent, coach or teacher. Understand the importance of speaking up to avoid risks of further injury.

Recognizing a concussionIf you have a concussion you might have one or more of the signs or symptoms listed below. They might show up right away or hours, even days, later. Just one sign or symptom is enough to suspect a concussion. Most people with a concussion do not lose consciousness.

Common signs and symptoms of concussions

Physical:

Headache

Pressure in the head

Dizziness

Nausea or vomiting

Blurred vision

Sensitivity to light or sound

Ringing in the ears

Balance problems

Tired or low energy

Drowsiness

“Don’t feel right”

Cognitive (Thinking):

Not thinking clearly

Slower thinking

Feeling confused

Problems concentrating

Problems remembering

Emotional:

Irritability (easily upset or angered)

Depression

Sadness

Nervous or anxious

Sleep-related:

Sleeping more or less than usual

Having a hard time falling asleep

Red Flags“Red flags” may mean the person has a more serious injury. Treat red flags as an emergency and call 911. Red flags include:

Neck pain or tenderness

Double vision

Weakness or tingling in arms or legs

Severe or increasing headache

Seizure or convulsion

Loss of consciousness (knocked out)

Vomiting more than once

Increasingly restless, agitated or aggressive

Getting more and more confused

What to do nextIf you think you have a concussion, stop the activity right away. Tell a parent, coach, teacher or another trusted adult how you feel. If you’re not with your parent or guardian, have someone call them to come get you. You should not be left alone.

See a physician or nurse practitioner as soon as possible. You should not return to sport until you have received medical clearance to do so even if you think you are OK.

If a friend, classmate or teammate tells you about their symptoms, or if you see signs they might have a concussion, tell an adult you trust so they can help.

Getting betterMost people with a concussion get better in one to four weeks. Some people take longer. Each concussion is unique. Don’t compare your recovery to someone else’s, or to another concussion you’ve had before.

It’s possible for a concussion to have long-term effects. People may experience symptoms, such as headaches, neck pain or vision problems, that last for months, or even years. Some may have lasting changes in their brain that lead to issues such as memory loss, concentration problems or depression. In rare cases, a person who suffers multiple brain injuries without healing in between may develop dangerous swelling in their brain, a condition known as second impact syndrome, that can result in severe disability or death.

While you’re recovering, you shouldn’t do activities that may make your symptoms worse. This may mean limiting activities such as exercising, school work, or time on your phone, computer or TV.

Healing from a concussion takes patience. It can be tough to wait, but rushing back to activities can make your symptoms worse and can make recovery longer.

If you have a concussion, tell your parents, all sport teams/clubs, schools, coaches and teachers.

And remember, returning to school comes before returning to sport.

Returning to School and SportIf you are diagnosed by a physician or nurse practitioner as having a concussion, you must follow your sport club’s return-to-sport protocol and/or your school’s return-to-school plan, where applicable. The return-to-sport protocol is a list of steps that you must follow before you can return to sport. You must not go back to participating in training, practice or competition until a physician or nurse practitioner says it's OK for you to do so.

You should work with your health care professional and sport club/school to establish a plan for you to return to sport and to school safely. Contact your school for more information.

Most return-to-sport protocols suggest that athletes should rest for 24 to 48 hours before starting any gradual return to sport.

The table below provides a list of steps and activities that are commonly found in most return-to-sport protocols and return-to-school plans.

You are ready to move to the next step when you can do the activities at your current step without feeling worse or getting new symptoms. If at any step your symptoms get worse, you should stop and go back to the previous step. Each step should take at least 24 hours to complete. If symptoms do not improve or if they continue to get worse, you should return to the physician or nurse practitioner.

It’s important to stay safe when you play sports. When it comes to concussions, remember:

Recognize signs and symptoms of a concussion and stop
activity immediately, even if you think you might be OK. Tell an adult.

Get checked out
by a physician or nurse practitioner.

Gradually return
to school and sport.

This e-booklet is part of a series of Rowan’s Law concussion awareness resources. Rowan’s Law was named for Rowan Stringer, a high school rugby player from Ottawa, who died in the spring of 2013 from a condition known as second impact syndrome (swelling of the brain caused by a subsequent injury that occurred before a previous injury healed). Rowan is believed to have experienced three concussions over six days while playing rugby. She had a concussion, but didn’t know her brain needed time to heal. Neither did her parents, teachers or coaches.

This resource is not meant to provide medical advice about your health care. For advice on health care for concussion symptoms, please consult with a physician or nurse practitioner.

Government of Ontario Concussion Awareness Resource e-booklet:

Ages 15 and up

Preventing injuries is important to keeping people active throughout their lives. Some injuries are easy to see and treat but what about an injury inside the head? Brain injuries, such as concussions, don’t show on the outside and are not always obvious. Even when you can’t see the injury, a person with a concussion still feels the effects and needs the proper care to get better.

This resource will help you learn more about concussions so you can keep yourself and others active and safe – whether you’re an athlete, student, parent, coach, official or educator.

What is a concussion?A concussion is a brain injury. It can’t be seen on X-rays, CT scans or MRIs. It may affect the way a person thinks, feels and acts.

Any blow to the head, face or neck may cause a concussion. A concussion may also be caused by a blow to the body if the force of the blow causes the brain to move around inside the skull. Examples include being hit in the head with a ball or falling hard onto the floor.

A concussion is a serious injury. While the effects are typically short-term, a concussion can lead to long-lasting symptoms and even long-term effects, such as memory problems or depression.

Preventing a concussionFirst, educate yourself about concussions. You should also:

Ensure you/your athletes use sports equipment that is in good condition;

Ensure that you/athletes you are supervising wear equipment that fits properly;

Promote a safe and comfortable environment for everyone to report injuries. Make sure everyone understands the risks of not speaking up.

Recognizing a concussionEveryone can help recognize a possible concussion if they know what to look and listen for.

A person with a concussion might have one or more of the signs or symptoms listed below. They might show up right away or hours, even days, later. Just one sign or symptom is enough to suspect a concussion. Most people with a concussion do not lose consciousness.

Common signs and symptoms of concussions

Physical:

Headache

Pressure in the head

Dizziness

Nausea or vomiting

Blurred vision

Sensitivity to light or sound

Ringing in the ears

Balance problems

Tired or low energy

Drowsiness

“Don’t feel right”

Cognitive (Thinking):

Not thinking clearly

Slower thinking

Feeling confused

Problems concentrating

Problems remembering

Emotional:

Irritability (easily upset or angered)

Depression

Sadness

Nervous or anxious

Sleep-related:

Sleeping more or less than usual

Having a hard time falling asleep

Red Flags“Red flags” may mean you have a more serious injury. Treat red flags as an emergency and call 911.

Neck pain or tenderness

Double vision

Weakness or tingling in arms or legs

Severe or increasing headache

Seizure or convulsion

Loss of consciousness (knocked out)

Vomiting more than once

Increasingly restless, agitated or aggressive

Getting more and more confused

What to do nextIf you suspect a concussion, remove yourself or the person you are supervising from the activity right away. Continuing to participate puts you or the person with a suspected concussion at risk of more severe, longer-lasting symptoms. Call the parent/guardian (for athletes under 18 years of age) or emergency contact. Don’t leave anyone with a suspected concussion alone.

Anyone who has been removed from sport with a suspected concussion should see a physician or nurse practitioner as soon as possible. That person should not return to unrestricted participation in training, practice or competition until they have received medical clearance.

Getting betterMost people with a concussion get better in one to four weeks. Some people take longer. Each concussion is unique – don’t compare one person’s recovery to another’s.

It’s possible for a concussion to have long-term effects. People may experience symptoms, such as headaches, neck pain or vision problems, that last for months, or even years. Some may have lasting changes in their brain that lead to issues such as memory loss, concentration problems or depression. In rare cases, a person who suffers multiple brain injuries without healing in between may develop dangerous swelling in their brain, a condition known as second impact syndrome, that can result in severe disability or death.

While a person is recovering from a concussion, they shouldn’t do activities that may make their symptoms worse. This may mean limiting activities such as exercising, screen time or school work.

Healing from a concussion is a process that takes patience. Rushing back to activities can make symptoms worse and recovery longer.

Anyone who has a concussion should let others know. This includes parents, all sport teams/clubs, schools, coaches and educators.

And remember, returning to school comes before returning to unrestricted sport.

Returning to School and SportAthletes and students who are diagnosed by a physician or nurse practitioner as having a concussion must proceed through their sport organization’s return-to-sport protocol and/or, where applicable, their school board’s return-to-school plan.

Athletes and students should work with their health-care professional and sport organization/school to establish their individual plans to return to sport as well as return to school.

The Return-to-School Plan (Learning and Physical Activity)Students in elementary and secondary school will need to follow their school board’s return-to-school plan, which supports a student's gradual return to learning and return to physical activity. Contact the school for more information.

The Return-to-Sport ProtocolMost return-to-sport protocols suggest that athletes should rest for 24 to 48 hours before starting any gradual return to sport. An athlete must not resume unrestricted participation in training, practice or competition until they have received medical clearance.

The table below provides a list of steps and activities that are commonly found in most return-to-sport protocols and return-to-school plans.

An athlete is typically ready to progress to the next step when they can do the activities at their current step without new or worsening symptoms. If at any step symptoms get worse, they should stop and go back to the previous step. Each step should take at least 24 hours to complete. If symptoms do not improve or if the symptoms continue to worsen, the athlete should return to the physician or nurse practitioner.

Remember:

Recognize signs and symptoms of a concussion and remove
yourself or the athlete from the sport/physical activity, even if you feel OK or they insist they are OK.

Get yourself/the athlete checked out
by a physician or nurse practitioner.

Support gradual return
to school and sport.

This e-booklet is part of a series of Rowan’s Law concussion awareness resources. Rowan’s Law was named for Rowan Stringer, a high school rugby player from Ottawa, who died in the spring of 2013 from a condition known as second impact syndrome (swelling of the brain caused by a subsequent injury that occurred before a previous injury healed). Rowan is believed to have experienced three concussions over six days while playing rugby. She had a concussion but didn’t know her brain needed time to heal. Neither did her parents, teachers or coaches.

These resources are not intended to provide medical advice relating to health care. For advice on health care for concussion symptoms, please consult with a physician or nurse practitioner.

SUBMISSION & CONFIRMATION

Swim Ontario Official Registration

Upon acceptance of my application I agree to abide by and comply with the By-Laws, policies, procedures, rules and regulations of Swim Ontario. I understand fully the implications of being a registrant of Swim Ontario.

I confirm I have read the Government of Ontario Concussion Awareness Resource e-booklets.

Signature
*

Clear

To ensure your Club Officials Administrator (COA) receives this information please enter their email address below in place of nicole@swimontario.com. It must be entered twice to validate the entry.

COA Email
*

Confirmation Email Confirm COA email address

Ensure you click on Submit. You will get an email with all responses once you submit the form.